JM
Jay M

1 reviews | Active since Nov 2022

10 Nov 2022, 10:54

Clientele Hospital Plans are unreliable when they have to pay claims. Wolves in sheep clothing

Good day,

I have logged a complaint with Clientele's Hospital Cash Back Department. I am very unhappy when it comes to your services especially with the Hospital Plan. I have been a policy holder since November 2015. My first claim was in 2021. Where one of my parents were hospitalized. Complaints officers gave my mom the run around and having her submit documents after documents. Having her drive from Kuruman to Kathu on a regular which is about 90km from where they stay and still they messed up the dates which my dad was admitted and discharged. She ended up giving up on the claim and because she fell sick herself and didn't even respond anymore. After months of trying.

Second claim was now on the 5th November 2022 - 9th Nov 2022. I cancelled the policy on the 20th Oct 2022 as my parents are on another medical insurance/aid. The consultant I spoke to told me that they will be deducting my account at the end of the month(Oct 2022). But my parents will still enjoy the benefit of the policy for the next 30 days after cancellation. I called Clientele today to claim as my dad was in hospital and the rejected the claim. Saying it's not in the period of the cancellation. When the consultant informs you that you have 30 days AFTER cancellation date WHY CAN I NOT CLAIM. IT'S THE 5TH NOV AND I CANCELLED THE POLICY ON THE 20TH OCT.

I am very disappointed in Clientele and I still have a funeral cover with them which I am thinking of cancelling. Wondering what other stunts they going to pull with me. Clientele has been deducting from my account from the end of Nov 2015. And the times I claimed. They are full of excuses. I still have an old hospital plan with them They changed the policy rules without informing me. Yet I paid right through covid cause when I asked for a payment holiday. They said it was not allowed. But now that we claiming they cannot assist. And you are given the run around. WHAT IS THE POINT OF HAVING A HOSPITAL PLAN OR INSURANCE?

I want answers Clientele. I want all the recordings of every time I spoke to a consultant. Because you guys feed us lies. Just like ********. Yet we must pay even through covid when most of us didn't have an income!!!!!!!!

My policy number is ***. I want answers!!!!

0
Replies (7)
Clientele Life
Clientele Life's reply10 Nov 2022, 11:07
Official
Dear Jay M 

We confirm receipt of the concerns raised.
      
Your query has been escalated to the relevant department for investigation and we will be in contact to assist.
      
Yours sincerely,

Shanitha Hanuman
Service Support Supervisor 
Clientele Life 

JM
Jay M's update11 Nov 2022, 12:05
Reviewer Update
Good day,

Kindly note that I have logged a verbal complaint via consultants yesterday as well as on hellopeter regarding my claim for hospital plan policy which was for the period from 03 November 2022 - 09 November 2022.

I cancelled my policy on the 20th October but the consultant advised that my parents will still be able to have the benefit 30 days after cancellation period. I called yesterday and the consultant said that it is not in the cancellation period. I then complaint on hello peter as well.

A consultant by the name on Lindiwe called me yesterday advising me that one of your consultants at claims/complaints will contact me yesterday. As I can claim as the letter says that I can claim 31 days later. she advice that they would give me a call yesterday. I called today to find out of the process of everything and they said I will wait for 10 days for anyone to give me a call back with the claim and that they can't even log a claim as the systems does not allow them due to the complaint.

Clientele is falling me once again. Here is a formal complaint for you. Seeing that you guys want to buy time.

Please send through the voice notes for these past few days as a client I have the right to request this.

And while you at it. Here is the claim I want to put in which your consultants cannot do as they have blocked the system.

You guys are buying time to again reject my claim.

Kind regards
Clientele Life
Clientele Life's reply16 Nov 2022, 09:33
Official
Dear  Jay M, 
 
Thank you for raising your concerns with us. 
 
Please note that your claim has been escalated to the Claims department, and it is undergoing an internal review. Due to the cancellation state of the policy, the internal review will take a maximum of 10 days, and you will be contacted by the Claims team within 10 days.  
 
Furthermore, we have sent the recording of the cancellation call that occurred on the 20th of October 2022 to your email. 

We would like to apologize for the delay and any inconvenience experienced. 
 
We trust you find this in order, however, should you require any further assistance please feel free to contact us again. 
 
Yours sincerely, 
 
Lindiwe Mabizela 
Service Support Specialist 
Clientele Life 
JM
Jay M's update16 Nov 2022, 09:58
Reviewer Update
Hi Lindiwe,

Kindly confirm if you have send me via email the voice note?

Thank you
Clientele Life
Clientele Life's reply16 Nov 2022, 10:01
Official
Dear  Jay M, 
 
Thank you for raising your concerns with us. 
 
My apologies for the unclear message, I sent you the call recording via email.  As a result of the call recording's size, we have received a response from the mail marshal that it will be delivered at a later time.
 
Yours sincerely, 
 
Lindiwe Mabizela 
Service Support Specialist 
Clientele Life 
JM
Jay M's update16 Nov 2022, 10:22
Reviewer Update
Thank you Lindiwe.

I will wait on the email as well as your response in 10 days.

I appreciate your assistance.
Clientele Life
Clientele Life's reply16 Nov 2022, 10:46
Official
Dear  Jay M,  

It has been a pleasure to assist you accordingly.

 
Yours sincerely, 
 
Lindiwe Mabizela 
Service Support Specialist 
Clientele Life